DAVID H BLUMIN MD
Controlled Substance Registration for Practitioner


Address: 69 Lincoln St, East Boothbay, ME 04544

DAVID H BLUMIN MD (Credential# 163994) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 8, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

DAVID H BLUMIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0021294. The credential type is controlled substance registration for practitioner. The effective date is March 8, 2011. The expiration date is February 28, 2013. The business address is 69 Lincoln St, East Boothbay, ME 04544. The current status is inactive.

Basic Information

Licensee Name DAVID H BLUMIN MD
Credential ID 163994
Credential Number CSP.0021294
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 69 Lincoln St
East Boothbay
ME 04544
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2006-03-01
Effective Date 2011-03-08
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
549639 1.031984 Physician/Surgeon 1991-11-08 2010-04-01 - 2011-03-31 INACTIVE

Office Location

Street Address 69 LINCOLN ST
City EAST BOOTHBAY
State ME
Zip Code 04544

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Joseph P Sokaitis Po Box 474, E Boothbay, ME 04544 Electrical Unlimited Journeyperson 2004-10-01 ~ 2005-09-30
Carolyn L Berzins Po Box 22, East Boothbay, ME 04544-0022 Massage Therapist 2010-08-01 ~ 2012-07-31

Competitor

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City EAST BOOTHBAY
Zip Code 04544
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + EAST BOOTHBAY

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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